FDA Adverse Event Malfunction Summary report: N

PANORAMA CENTRAL STATION/TELEPACK

MDR report key: 3091586 · Received April 30, 2013

Report

Report Number
2221819-2013-00159
Event Type
Malfunction
Date Received
April 30, 2013
Date of Event
August 21, 2012
Report Date
April 30, 2013
Manufacturer
MINDRAY DS USA, INC.
Product Code
MHX
PMA / PMN Number
031760
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

CUSTOMER WAS ADVISED TO CONTACT MINDRAY SERVICE FOR FURTHER INVESTIGATION. THE SYSTEM ANTENNA MAY HAVE BEEN THE CAUSE OF THE ERROR AND THE CUSTOMER SUBSEQUENTLY REPLACED THE ANTENNA. (B)(4).

Description of Event or Problem · 1

CUSTOMER REPORTED A TELEPACK WOULD NOT DISPLAY AT THE PANORAMA CENTRAL STATION RESULTING IN A POSSIBLE LOSS OF AMBULATORY TELEMETRY MONITORING. NO PATIENT INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
187388 PANORAMA CENTRAL STATION/TELEPACK CENTRAL STATION MONITOR MHX MINDRAY DS USA, INC.

Patients

Seq Age Sex Outcome Treatment
1